AIDS e Diabetes Mellitus versus justiça distributiva no sistema público de saúde

Oliveira, Silvia Lucia de Castro; Filho, Wilson Danilo Lunardi

doi:10.1590/s0034-71672004000600025

Cited by 4 publications

(4 citation statements)

References 1 publication

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“…Still about the inequality of access to medicines, this study found that, for the users contemplated with all prescribed medication, the justice obtained can be considered individualistic 25 . This would be an individualistic ethic, conservative of inequalities in the society 22 .…”

Section: Distributive Justice and Equitymentioning

confidence: 83%

Justiça distributiva no serviço de saúde especializado e no acesso a medicamentos

Nobre¹,

Dias

Leite

et al. 2015

Rev. Bioét.

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When speaking of chronic illnesses and the public health system, the lack of resources is on the agenda. The study analyzed the referencing and access to medication in individuals assisted by the State Public Service Hiperdia. It is a transversal study, with 250 individuals referred for this secondary level of attention to hypertension and diabetes. The study investigated biological criteria, access to medicine, socio-demographic and economic profile and health condition. The level of statistical significance was 5%. The correct referencing was 64.0%, although incorrect for nearly half of those that used municipal public transportation. The total access to medicine (69.6%) was associated with the lowest family incomes (p < 0.05). The discussion, based on the principle of distributive justice, was concluded by recommending better training of professionals in referencing assistance services, with a reduction of waste in public transport and specialized attention, because such investment should be reverted to a wider distribution of medicine. Keywords: Ethics. Equity in the resource allocation. Health care (Public Health). Pharmaceutical trade-Health care rationing. Social Justice-Disease. ResumoJustiça distributiva no serviço de saúde especializado e no acesso a medicamentos Quando se fala de doenças crônicas e do sistema público de saúde, a escassez de recursos está sempre em pauta. O estudo analisou o referenciamento e o acesso à medicação em indivíduos assistidos pelo serviço público estadual Hiperdia. Trata-se de pesquisa transversal, com 250 indivíduos referenciados para esse nível secundário de atenção à hipertensão e diabetes. Investigaram-se critérios biológicos, acesso aos medicamentos, perfil sociodemográfico e econômico e condição de saúde. O nível de significância estatística foi de 5%. O referenciamento correto foi de 64,0%, embora incorreto para quase metade dos que utilizaram o transporte público municipal. O acesso total à medicação (69,6%) estava associado à menor renda familiar (p < 0,05). A discussão, fundamentada no princípio da justiça distributiva, concluiu pela recomendação de melhor capacitação dos profissionais no referenciamento de serviços assistenciais, com redução do desperdício em transporte público e atenção especializada, além do que, tal investimento deve ser revertido em maior distribuição gratuita de medicamentos. Palavras-chave: Ética. Equidade na alocação de recursos. Atenção à saúde. Comercialização de medicamentosAlocação de recursos para a atenção à saúde. Justiça social-Doença. Resumen Justicia distributiva en el servicio de salud especializado y en el acceso a medicamentos Cuando se habla de enfermedades crónicas y sistema público de salud, la escasez de recursos está en agenda. El estudio analizó la derivación y el acceso a la medicación de individuos asistidos por el servicio público estatal Hiperdia. Se trata de un estudio transversal, con 250 individuos derivados hacia el nivel secundario, para la atención de hipertensión y diabetes. Se investigaron criterios b...

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Section: Distributive Justice and Equitymentioning

confidence: 83%

Justiça distributiva no serviço de saúde especializado e no acesso a medicamentos

Nobre¹,

Dias

Leite

et al. 2015

Rev. Bioét.

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“…In Brazil, the Unified Health System (Sistema Único de Saúde -SUS) aims to manage, organize, systematize and implement health actions in Brazil, having as basic principles the universality of access to services, integral care and equity in the distribution of resources 7 . From a DM perspective, the SUS emerges as a tool for policies that reorganize attention regarding the provision of the necessary inputs to control the disease 8 .…”

Section: Judicial Proceedings For the Acquisition Of Insulin Pump In mentioning

confidence: 99%

Processos judiciais para aquisição de bomba de insulina em Ribeirão Preto

Andrade

Santos

Teixeira³

et al. 2018

Rev. Bioét.

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Resumo Objetivou-se analisar ações judiciais individuais para a aquisição de bomba de insulina movidas por usuários do Sistema Único de Saúde em município do estado de São Paulo, mediante estudo exploratório-descritivo do tipo documental e estatístico, de caráter quantitativo. Foram identificados 40 (6,2%) processos relacionados a demandas por bombas de insulina do total de 636 processos. A maioria das ações foi impetrada por homens para pacientes na faixa etária entre 11 e 20 anos. Foram também identificadas ações para adquirir medicamentos e outros insumos, como glicosímetros, conjuntos de infusão e reservatórios de insulina. O estudo tem como intuito promover discussões sobre direitos e assistência integral da pessoa com diabetes mellitus. Assim, espera-se contribuir para o entendimento de como o processo de judicialização pode auxiliar os usuários a buscar novas perspectivas para o cuidado com a doença.

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“…These efforts should be directed at both the reorganization of care for people with DM and the provision of necessary inputs for disease monitoring, with the aim of reducing the costs of early non-detection and complications related to lack of metabolic control [19].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil

et al. 2020

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Background and objectives: Diabetes mellitus (DM) stands out among the most important public health problems worldwide since it represents a high burden on health systems and is associated with higher hospitalization rates, and a higher incidence of cardiovascular diseases. Amputations are among the most common complications, leading to disability and increasing care costs. This research aims to analyze the prevalence of DM-related amputations, comorbidities and associated risk factors in the diabetic population residing in the State of Espírito Santo, Brazil. Materials and Methods: This is a quantitative, exploratory, cross-sectional study with a time series design and the use of secondary data registered and followed by the system of Registration and Monitoring of Hypertension and Diabetes—SisHiperdia. Results: The sample consisted of 64,196 diabetic patients, out of them, 3.9% had type 1 DM, 10.9% with type 2 DM, and 85.2% with DM coexisting with hypertension. Most were female (66.6%), aged 40 to 59 years (45.6%), and 60 years and older (45.2%). The prevalence of DM-related amputations in the analyzed sample was 1.2% in type 1 DM, 1.5% in type 2 DM, and 2.2% in concomitant DM and hypertension. Higher amputation rates were observed in males in the age group above 60 years in type 1 DM and type 2 DM and were slightly higher in the age groups up to 29 years in DM with hypertension. A higher prevalence of amputation was related to smoking, physical inactivity, acute myocardial infarction (AMI), stroke, chronic kidney disease (CKD), and diabetic foot (DF) in all types of DM. Conclusions: The present study showed a significant prevalence of DM-related amputations. An increased prevalence was evidenced when correlated with smoking, physical inactivity, AMI, stroke, CKD, and DF with significant statistical associations, except for a sedentary lifestyle in type 1 DM.

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AIDS e Diabetes Mellitus versus justiça distributiva no sistema público de saúde

Cited by 4 publications

References 1 publication

Justiça distributiva no serviço de saúde especializado e no acesso a medicamentos

Justiça distributiva no serviço de saúde especializado e no acesso a medicamentos

Processos judiciais para aquisição de bomba de insulina em Ribeirão Preto

Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil

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